| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,165.95 | $6,760.83 | $7,413.10 | |
Ambetter
| Facility | $6,165.95 | $6,165.95 | $8,128.31 | |
Cigna
| Facility | $4,265.80 | $7,413.10 | $14,454.40 | |
United
| Facility | $2,344.23 | $5,754.40 | $10,471.29 |